migraine-history_definitions_and_diagnosisNT_MDA_slide15.pptx

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1. Migraine ICHD-3 diagnostic criteria – episodic migraine with/without aura At least 5 attacks fulfilling criteria B–D Headache attacks lasting 4–72 hours (when untreated or unsuccessfully treated) Headache has at least 2 of the following 4 characteristics: Unilateral location Pulsating quality Moderate or severe pain intensity Aggravation by or causing avoidance of routing physical activity (e.g., walking or climbing stairs) During headache at least 1 of the following: Nausea and/or vomiting Photophobia and phonophobia Not better accounted for by another ICHD-3 diagnosis At least 2 attacks fulfilling criteria B and C At least 1 of the following fully reversible aura symptoms: Visual Sensory Speech and/or language Motor Brainstem Retinal At least 3 of the following 6 characteristics: At least 1 aura symptom spreads gradually over ≥5 minutes 2 or more aura symptoms occur in succession Each individual aura symptom lasts 5–60 minutes At least 1 aura symptom is unilateral At least 1 aura symptom is positive The aura is accompanied, or followed within 60 minutes, by headache Not better accounted for by another ICHD-3 diagnosis See slide notes for further information on diagnostic criteria ICHD-3=International Classification of Headache Disorders, 3 rd edition Headache Classification Committee of the International Headache Society (IHS). Cephalalgia 2018;38(1):1–211 1.1 Migraine without aura 1.2 Migraine with aura